EAGLE CHIROPRACTIC PC NPI 1720188857

NPI Information

  • NPI: 1720188857
  • Provider Name: EAGLE CHIROPRACTIC PC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 5337 S STATE ST
    EAGLE, ID
    ZIP 83616
  • Phone: (208) 939-9195

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NPI Details

EAGLE CHIROPRACTIC PC is a clinic center in Eagle, ID. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EAGLE CHIROPRACTIC PC NPI is 1720188857. The provider is registered as an organization entity type.

The provider's business location address is:

5337 S STATE ST
EAGLE, ID
ZIP 83616-313
Phone: (208) 939-9195
Fax: (208) 939-4686

The provider's authorized official is Sherry Lynn Nord .
The authorized official title is Secretary and has the following contact phone number (208) 939-9195.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 10/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterC561IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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